Heather Craft Bull, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3012836 Issued in KY

Practice address

404 Steve Dr
Russell Springs, KY 42642-4622

Phone

(270) 866-3161

Fax

(270) 866-3163

NPI assigned

Jan 3, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cumberland Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Burkesville, KY
  • NPI 1306873500

  KY

  Medicare reassignment NPD
• Cumberland Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Greensburg, KY
  • NPI 1386120699
  NPD
• Aigne Mental Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabethtown, KY
  • NPI 1487168936
  NPD (past)
• Cumberland Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Danville, KY
  • NPI 1215918917
  NPD (past)
• Cumberland Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Frankfort, KY
  • NPI 1376115808
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1851864797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 STEVE DR",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424622",
            "telephone_number": "270-866-3161",
            "fax_number": "270-866-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULL",
        "first_name": "HEATHER",
        "middle_name": "CRAFT",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2024-11-12",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012836",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14388133",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100577570",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Bradshaw, APRN FNP
• Ashley Bragg, BCBA, LBA
• James Baxter Brown, PHARM.D.
• Shannon Lee Brown, FNP
• Angelia Shaw Bryant, NCC CCMHC CHT LPCC-S
• Michael Burchett
• Staci Katherine Campbell, RN
• Samantha Carroll, CSW
• Anita D Coffey, LCSW
• Kendra Paige Collins

• Family Nurse Practitioner in Russell Springs, KY
• Providers in Russell Springs, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.